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845 NO. STREET LOT NO. I=qk FOR ELECTRICAL PERMIT FISEP YOF CUPERTINO 291960 �- 1 Da((t��e ��// //�� rr pp[[pp�T nn''((�� , 195_ Permit No. `+ 41��iliCAFis AeUPyleRITJlNGe City of Cupertino for a permit toinstall electrical wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said wiring and/or fixtures in accordance with the provisions of the Electrical Code of the City of Cupertino, and all other laws applicable efeto. Use of Premi Ow"ryer_ //,} . . ; Address *1. •• . c, -y %By GU_:.7i.Gv Ly+OT�I '�%� r:� ' r :Address %,r VJ 4 jun .E��� � 3�a ����• " --APProved Phone: /!"• ELECTRICAL INSPECTOR NEW RPL FEES Size Service Conduit......................Number of Outlets.:........._..... _ ........ ---------- -------------- Size Service Wires..........................Number of Switches---------------- ..1...... -......... P/0.... ;. Size Service Switch........................Number of Receptacles------------ ---------- ---------- -----i........ Size Sub Feed Conduit-------...........Number of Fixtures.................. .......... .......... .............. Size Sub Feed Wires-------------------Ranges---------------- KW..----------- ---------- ---------- ---..---.-. Number of Circuits................... Oven KW-----*--- ..- ----f--... ---------- -- Number of Meters........................Signs.......... Transformers... N.. .......... L2© Mise------------------------------------------Dryers--------------------------------------- I .... .. --- ----- ------ Motors.................... HP-------------------- Phase----------------- "� Motors..._._............ HP-.-.._------------- Phase Permit Fee $1.00 Motors------------------- HP---------------- Phase------------------- H P Charge................ -----.------ TOTAL FEES 1,2 RECORD OF INSPECTION APPROVALS Rou h Wiring Fixtures ...._----- .. ' DATE - +� •IMSPECTOP ATE 4PECT R Finish Wiring,....-_- ..`�-------------- -----.--- Motors -- - '_...:...�..... . .1 IATC. a I.SPECTOP _ // ._ Final ....�.1._. ._6..1..�. .. ....--- I ' AT[ IM9PECT